Organization Active NPI

Nagle Pharmacy, Inc.

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1679808018
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029587 Issued in NY
Legal business name
NAGLE PHARMACY, INC.
Practice address
220 Nagle Ave
New York, NY 10034-6004
Phone
(212) 942-0202
Fax
(212) 942-0802
NPI assigned
Oct 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Faina Vinokur, PHARMD.
Title
Supervising Pharmacist
Phone
(917) 528-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 029587 NY Primary

Addresses

Primary practice location

220 Nagle Ave
New York, NY 10034-6004

Mailing address

210 Nagle Ave
New York, NY 10034-6004
Phone (212) 942-0202

Other identifiers 1

IdentifierTypeStateIssuer
03167291MedicaidNY

National Provider Directory

National Provider Directory

Locations

210 Nagle Ave
New York, NY 10034

220 Nagle Ave
New York, NY 10034
Phone (212) 942-0202

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1679808018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 NAGLE AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100346004",
            "telephone_number": "212-942-0202",
            "fax_number": "212-942-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NAGLE AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100346004",
            "telephone_number": "212-942-0202",
            "fax_number": "212-942-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAGLE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "VINOKUR",
        "authorized_official_first_name": "FAINA",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "917-528-4848",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03167291",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.